中风煎方治疗脑梗死急性期临床观察  

C linical Observation of "Zhongfeng Decoction" Treating Acute Stroke

作　　者：李乐军[1] 李玉梅[1] 黄蓉[1] 宁倩[1] 肖辉[1] 杜青[1] 孙娜[1] 乔本玉[1] 李祥勇[1] 

机构地区：[1]南京中医药大学连云港附属医院,江苏连云港222004

出　　处：《中国中医急症》2014年第6期1038-1039,1063,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：江苏省中医药领军人才项目资助课题(LJ200930)

摘　　要：目的观察中风煎方治疗脑梗死急性期的临床疗效。方法将122例患者随机分为治疗组62例和对照组60例,治疗组口服中药中风煎方加西医常规治疗,对照组仅予西医常规治疗。疗程均为14 d,比较两组临床疗效和治疗前后神经功能缺损程度评分、Barthel指数(BI)、血液流变学指标及MMP-9的含量。结果治疗组总有效率明显高于对照组(P<0.05);两组治疗后神经功能缺损程度评分及BI指数评分改善情况优于对照组(P<0.05),且治疗组血液流变学指标改善情况和血清MMP-9检查结果与对照组差异有统计学意义(P<0.05)。结论中风煎方治疗脑梗死急性期具有较好的治疗作用,其作用机理与改善血液微循环有关。Objective：To observe the clinical effects of Zhongfeng Decoction on patients with acute stroke.Methods：122 subjects were randomized into two groups：treatment group （62 cases） and control group （60 cases）.Treatment group was given Western conventional therapy and Zhongfeng Decoction while control group was treated with Western conventional therapy alone,for a course of 14 days.The clinical efficacy,neurological function,BI index,hemorheology index,and serum MMP-9 were observed.Results：The total effective rate was 90.32％ in treatment group and 76.67％ in control group,with a striking difference between them （P＜0.05）.After treatment,neurological function,BI index score,hemorheology index and serum MMP-9 test results in treatment group improved better compared with control group （P＜ 0.05）.Conclusion：Zhongfeng Decoction is effective in treating acute stroke.

关 键 词：脑梗死 中医药疗法 中风煎方 

分 类 号：R743.9[医药卫生—神经病学与精神病学]